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First is the flexibility of PBLD. [...]PBLD enables simultaneous participation of a larger number of multi-professional participants from a variety of specialties and professions, compared to manikin-based scenario training [4].

To present a new research problem-based learning discussion (PBLD) conference and to evaluate its effect on residents. Retrospective observational study of resident education before and after implementation of a research PBLD. Large U.S. academic anesthesiology department. 93 anesthesiology residents with research PBLD exposure in the academic year (AY) 2010 and AY 2011, and 85 residents without research PBLD exposure in AY 2008 and AY 2009. Since AY 2010, a PBLD format has been used to teach residents clinical research fundamentals. The annual 90-minute PBLD addressed residents’ perceived barriers to research and introduced research resources available via the Clinical and Translational Science Institute (CTSI). Data recorded were: 1) number of residents who made CTSI consultation solicitations as a new investigator, and 2) number of new research projects proposed by the residents and designed with CTSI consultation. Each outcome was compared between the prePBLD group (AY 2008 [n=43] and AY 2009 [n=42]) and the postPBLD group (AY 2010 [n=43] and AY 2011 [n=50]). The number of residents who consulted the CTSI as new investigators increased from 4 of 85 residents (4.7%) in the prePBLD group to 13 of 93 residents (14.0%) in the postPBLD group (P = 0.042). The number of new research projects for which the residents consulted CTSI increased from 10 to 20 (100% increase). A PBLD format for research education of anesthesiology residents is effective.

Objective This study aimed to determine whether a combination of case-based learning (CBL) and problem-based learning (PBL) methods in teaching can improve the academic performance and recruitment of medical students for neurosurgery. Methods Four classes of fourth-year medical students were randomly divided into two groups. The traditional model group received the traditional teaching method, and the CBL-PBL group received the combined teaching methods of CBL and PBL. After the courses, the differences between the two groups in self-perceived competence, satisfaction with the course, post-class test scores, and clinical practice abilities were compared, and the proportions of neurosurgery major selection in pre- and post-curriculum between the two groups were also analyzed. Results Self-perceived competence, post-class test scores, and clinical practice abilities in the CBL-PBL group were better than those in the traditional model group. The students in the CBL-PBL group showed a higher degree of satisfaction with the course than those in the traditional model group (χ2 = 12.03, P  = 0.007). At the end of the semester, the proportion of students who chose neurosurgery majors in the CBL-PBL group was 13.3%, more than the 3.4% in the traditional model group (χ2 = 3.93, P  = 0.048). Conclusion Compared with the traditional teaching method, the CBL and PBL integrated method is more effective for improving the performance of medical students and enhancing their clinical capabilities in neurosurgery teaching. The CBL-PBL method effectively improved students’ interests in neurosurgery, potentially contributing to increasing medical student recruitment into neurosurgery.

Background Traditional didactic teaching methods have been the cornerstone of nursing education, the Problem-Based Learning (PBL) has gained recognition in healthcare education as a student-centered instructional strategy with the potential to enhance critical thinking. Objective This study aims to investigate the effect of PBL on the health education ability of nursing interns in order to promote the development of nursing education. Methods A prospective cohort study was conducted with 142 nursing interns randomly assigned to either a control group (traditional teaching method) or an observation group (PBL teaching method), with 71 individuals in each group. The control group used the traditional teaching mode, and the observation group used the PBL teaching mode for 2 months. The primary outcome measures included assessment scores, health education ability, self-directed learning ability, critical thinking ability, and overall teaching satisfaction. Results The comparison of assessment scores revealed that the PBL Teaching Group demonstrated significantly improved post-test scores compared to the Traditional Teaching Group ( P  < 0.05). Additionally, the PBL Teaching Group displayed significantly higher post-assessment scores in health education ability ( P  < 0.05), self-directed learning ability ( P  < 0.05), and critical thinking ability ( P  < 0.05). The results show a significant positive correlation between health education skills and self-directed learning ( r  = 0.478, P  < 0.001), significant positive correlation between health education skills and critical thinking ( r  = 0.854, P  < 0.001),significant positive correlation between self-directed learning and critical thinking ( r  = 0.553, P  < 0.001).In addition, the overall satisfaction level of PBL group (28.69 ± 6.28) was significantly higher than that of traditional teaching group (25.14 ± 7.78) ( P  < 0.05). Conclusion This study provides evidence to support the use of PBL as an effective teaching method to improve the health education ability of nursing interns, and provides new ideas and methods for nursing education. Trial registration Not applicable.

To compare the effects of traditional and platform-based case-based learning (CBL) on undergraduate nursing students’ academic performance, self-efficacy, clinical decision-making and critical thinking abilities. Traditional CBL can improve students’ academic performance but faces challenges in the era of “Internet + education.” It is unclear whether platform-based CBL is as effective as traditional CBL. Cluster randomized controlled trial. A total of 88 undergraduate nursing students from two classes were recruited using cluster sampling and separated into two groups by class. The control group (n = 45) received traditional CBL, and the experimental group (n = 43) received platform-based CBL. Academic performance, self-efficacy, clinical decision-making, critical thinking disposition and experimental group’s learning records from the online platform were evaluated. No difference was found between the two groups in overall academic performance, but formative evaluation and final examination scores in the course differed. Compared with the control group, the experimental group presented significant differences in self-efficacy and clinical decision-making. There was no difference between the total clinical thinking disposition scores; however, truth-seeking, systematicity and self-confidence exhibited significant differences. Concerning student progression, all experimental students advanced from “Grade I” to “Grade V” or “Grade IV”. The usability questionnaire’s average score regarding the platform was 77.03 (SD 7.43) and the top dimension was teaching utility. Compared with traditional CBL, platform-based CBL may better enhance self-efficacy and clinical decision-making abilities in nursing undergraduate students.

Background Medical residents often struggle with complex clinical scenarios that require sophisticated decision-making skills. While case-based discussion (CBD) is widely used in medical education, its effectiveness can be limited by insufficient guidance and structured support. Scaffolding teaching, which provides graduated assistance aligned with learners’ development, may address these limitations. However, evidence from randomized controlled trials evaluating the integration of scaffolding with CBD in residency training remains limited. This study aims to compare an integrated scaffolded case-based learning approach with traditional lecture-based teaching that utilizes the same clinical case materials in enhancing residents’ clinical reasoning, self-directed learning, and knowledge acquisition in anesthesiology training. Methods This prospective randomized controlled trial encompassed 12 anesthesiology residents, systematically randomized into an experimental cohort (receiving scaffolding teaching integrated with case-based discussion) and a control cohort (receiving traditional lecture-based instruction utilizing the same clinical case). The intervention consisted of a structured 4-week curriculum focusing on HOCM anesthesia management, delivered through weekly instructional sessions. The investigation utilized validated assessment instruments to measure primary outcomes, including clinical reasoning proficiency and self-directed learning capacity, at three time points: baseline, post-intervention (Week 4), and follow-up (Week 8). Secondary outcome measures encompassed teaching satisfaction indices and knowledge retention metrics. Statistical analysis employed t-tests and Mann-Whitney U tests for comparative assessment. Results Post-intervention evaluation at Week 4 revealed statistically significant superiority in the experimental cohort across multiple parameters: clinical reasoning proficiency (83.58 ± 3.28 versus 74.17 ± 4.55, p  = 0.002), self-directed learning capacity (79.92 ± 2.56 versus 63.33 ± 3.52, p  < 0.001), and teaching satisfaction indices (100.00 ± 0.00 versus 73.00 ± 5.02, p  < 0.001). Follow-up assessment at Week 8 demonstrated sustained enhancement in the experimental group, maintaining significant advantages in clinical reasoning proficiency (89.08 ± 5.93 versus 68.17 ± 2.70, p  < 0.001), self-directed learning capacity (87.83 ± 2.56 versus 71.58 ± 3.50, p  < 0.001), and knowledge retention (98.33 ± 2.58 versus 95.00 ± 0.00, p  = 0.010). Conclusion This investigation demonstrates that an integrated scaffolding-supported case-based learning approach offers significant advantages over traditional lecture-based teaching that incorporates the same clinical case. The integrated approach significantly enhances clinical reasoning capabilities, self-directed learning competencies, and knowledge acquisition in complex clinical scenarios compared to the lecture-based approach. These findings establish a robust empirical foundation for the optimization of residency training methodologies, particularly within high-complexity clinical domains such as HOCM anesthesia management. The sustained improvements observed at follow-up further validate the long-term effectiveness of this integrated pedagogical approach. Clinical trial registration Not applicable. This study is an educational research project evaluating teaching methodologies through simulated training and does not involve health-related interventions or patient outcomes.

Background The traditional Chinese dentistry classroom teaching model focuses on the instruction of knowledge details, but less on the frameworks and learners’ motivation. Here, we introduced a combination of mind mapping and PBL instruction (MBL)into the prosthodontics course for Chinese dental students. This study aimed to evaluate the effectiveness and efficiency of MBL in prosthodontics and make observations from the students’ perspectives, based on their response with the learning process. Methods We prospectively enrolled 56 fourth-year undergraduates of stomatology, and these participants were randomly allocated into either the combined mind map teaching group (MBL) or the problem-based learning group (PBL) to attend the prosthodontics course. An anonymous questionnaire was also administered to both groups to evaluate the students’ perceptions and experiences, using closed and open-ended items. Data were analyzed using descriptive statistics and thematic analysis. Results The students’ responses to closed items indicate their experience in PBL and MBL to be positive, including increased motivation, improved memory of knowledge, enhanced discipline connection and raised teamwork, with fairly higher ratings for the MBL group. However, the tutor-guided competence scores including the memory and framework part, were significantly higher for MBL group than PBL group (two-way ANOVA, p <  0.01, p <  0.001, respectively). Meanwhile, the self-perceived competence scores including the motivation, framework and teamwork part, were significantly higher for MBL group than PBL group (two-way ANOVA, p <  0.01, p <  0.001, p <  0.05, respectively). Conclusion Our findings suggest that MBL teaching approach can help in integration of knowledge structure and enhance clinical reasoning. MBL is an effective and well-organized method in prosthodontics course for dental students.

Objective To explore the differences in the effectiveness of various teaching methods combining online and offline modes in paediatric medical education. Methods Fourth-year medical paediatric students at our university in 2020 were randomly divided into three groups: a control group, experimental group 1, and experimental group 2, with 30 students in each group. The control group received traditional teaching, experimental group 1 received a combination of online and offline teaching using two methods simultaneously, and experimental group 2, in addition to the methods used in experimental group 1, engaged in real-case teaching in the ward. The teaching outcomes were evaluated through theoretical exams, clinical skills assessments, and questionnaires. Results Experimental groups 1 and 2 were superior to the control group concerning theoretical examination and overall scores ( P  < 0.05). Experimental group 2 was superior to experimental group 1 and the control group in clinical skills examination scores ( P  < 0.05). The satisfaction rate for the questionnaire was highest in experimental group 2 ( P  < 0.05). Conclusion The combined use of various teaching methods with online and offline modes is more effective than using traditional teaching methods only in paediatric education. It enhances the overall competence of paediatric students, especially in terms of improving clinical skills, and is well-received by both students and teachers.

Directed self-learning (DSL) is an active learning approach where the learners are provided with predefined learning objectives and some facilitation through the learning process in the form of guidance and supervision. It can help establish a strong foundation for autonomous and deep learning. The aim of this study was to introduce a modified form of DSL to second-year undergraduate medical students using pre-small group discussion (pre-SGD) worksheets. The authors intended to evaluate its effectiveness through theme assessment and investigate students' perceptions using a feedback questionnaire. This was an analytical cross-sectional study. Modified DSL (MDSL) was introduced to 96 second-year undergraduate medical students in two themes. Students were divided randomly into two groups. One group was exposed to traditional DSL (TDSL), and the other was introduced to MDSL using pre-SGD worksheets for the first theme. Groups were reversed for the second theme. The activity was followed by a theme assessment, which was scored for research purpose only. The scores of this assessment were compared, and perceptions of the students were gathered using a validated questionnaire. Data were analyzed using IBM's statistical package of social sciences (SPSS) version 22. The comparison of theme assessment scores revealed statistically significant difference (P = 0.002) in median scores between control TDSL and experimental MDSL groups. The percentage of students scoring ≥80% in theme assessment was significantly higher in the experimental group compared to the control group (P = 0.029). This strategy was well perceived by the students in terms of acceptability and effectiveness as depicted by a high degree of agreement on the Likert-scale. Modified DSL resulted in significant improvement in academic performance of undergraduate medical students. MDSL was also well perceived as an active learning strategy in terms of acceptability, effectiveness, and comparison with TDSL.

Background Teamwork and collaboration among students are essential for successful problem-based learning (PBL) implementation; however, many medical colleges in Nepal face obstacles to implementing successful PBL sessions. This action research explored elements affecting teamwork during PBL sessions at Lumbini Medical College in Nepal and developed interventions that could readily be applied to enhance student collaboration. Methods The study employed qualitative methods, collecting data through online open-ended questionnaires from second-year and first-year medical students. Initial data from second-year students identified teamwork challenges, while feedback from first-year students evaluated interventions. Specific interventions were implemented with first-year students, including improved internet connectivity, systematic textbook availability in PBL rooms, structured presentation formats (PechaKucha), and clear role assignments, as second-year students had completed their preclinical phase. The effectiveness of these interventions was evaluated through first-year students’ feedback. Results Thematic analysis revealed three key challenges: communication barriers (including language and technical issues), discrepancies in participation, and differing levels of preparation. Positive feedback from first-year students confirmed that the implemented interventions were successful in improving team dynamics, facilitating more active participation, and enhancing resource utilization. Conclusions Successful implementation of PBL necessitates not only infrastructural support (internet and access to the resources needed to learn) but also pedagogical structure (e.g. clearly defined roles within groups, systematic structures of participation). These findings offer practical guidance for medical educators seeking to enhance PBL effectiveness, particularly in resource-limited settings. Clinical trial number Not applicable.